MR. JERRELL HORNE I
NPI 1912361874
Counselor - Mental Health in Shreveport, LA
Active since April 07, 2016
About Mr. Jerrell Horne I NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRELL HORNE I (NPI 1912361874) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1912361874
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JERRELL HORNE I
Location Address3510 LINWOOD AVEShreveport, LA 71103-4512
Mailing Address3510 Linwood AveShreveport, LA 71103-4512 · (318) 636-4194 · Fax (318) 636-4196
Phone(318) 636-4194
Fax(318) 636-4196
Sole ProprietorYes
Enumeration DateApril 7, 2016
✔ NPI 1912361874 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3510 LINWOOD AVE, Shreveport, LA 71103
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Non-emergency Medical Transport (VAN)
3510 LINWOOD AVE
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912361874, enumerated as an "individual" on April 07, 2016.
The provider is located at 3510 LINWOOD AVE SHREVEPORT, LA 71103 and the phone number is (318) 636-4194.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.